Building Community Resilience throughAdverse Community Experiences and Resilience (ACE|R) & Community Organizing Approaches
Phillip W. Graham, MPH, DrPHAnna C. Yaros, PhDDana Fields-Johnson, MPAJamaal E. Smith, MPA
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Context of ACEs
3 CONFIDENTIAL
Research Partners
CDC National
Center for Injury
Prevention and Control
(NCIPC)
RTI International
Prevention Institute
Milwaukee Office of Violence
Prevention
RTI Research Team
Phillip W. GrahamCo-PI
Anna YarosCo-PI / Project Director
Ty RidenourCo-Investigator
Jessica CanceCo-Investigator
Stefany RamosResearch Analyst
Camara WootenProject Coordinator
Sherri SpinksProject Manager
Presentation Outline
ACE|R Model
Milwaukee Blueprint
Research Study
Adverse Community Experiences and Resilience
A Framework for Addressing and Preventing Community Trauma
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• Trauma also manifests at the community level and is not just the aggregate of individuals in a neighborhood who have experienced trauma.
• Community trauma is the impact of chronic adversity (e.g., violence and structural violence) across a community.
• There is an understanding that trauma serves as a barrier to effective solutions to promote health, safety and well-being.
• There are manifestations, or symptoms, of community trauma in the social-cultural, physical/built and economic environments.
Community Trauma: What We’re Learning
Symptoms of Community Trauma
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Strategies to Address and Prevent Community Trauma
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Simultaneous Community Solutions
Adverse Community Experiences and Resilience: A Framework for Addressing and Preventing Community Trauma, http://preventioninstitute.org/publications/adverse-community-
experiences-and-resilience-framework-addressing-and-preventing
12 What? Why? How? Answers to Frequently Asked Questions About the Adverse Community Experiences and Resilience Framework,
http://preventioninstitute.org/publications/what-why-how-answers-faqs-about-acer-framework
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Milwaukee's Blueprint for PeaceCharting the path forward with the Adverse Community Experiences and Resilience Framework
A Community-Building and Organizing Framework that Incorporates an Understanding of Community Trauma (ACE|R)
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• 4 Distinct Components
• Civic Engagement• Community Engagement• Community Organizing• Movement Building
Milwaukee OVP's Community Organizing Approach
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• Development of a Resident Train-the-Trainer Curriculum
• Ongoing Design Team Conversations--Review curriculum and supporting materials--Modifications
• Pilot the ACE|R+ Train-the-Trainer in Sherman Park (Aug 2021)
• Priority neighborhoods of focus to follow Sherman Park (Amani, Old North Milwaukee, North Division/Metcalfe Park)
• Development of a Neighborhood Readiness Assessment (TBD)
Current & Future Activities
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Elements of a Resilient Community
What? Why? How? Answers to Frequently Asked Questions About the Adverse Community Experiences and Resilience Framework,
http://preventioninstitute.org/publications/what-why-how-answers-faqs-about-acer-framework
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Prevention Institute Project Team
Sheila Savannah
Managing Director
Dana Fields-
Johnson
Assoc. Program
Director
Nzinga Khalid
Program ManagerKami Yamamoto
Senior Research
Assistant
OFFICE OF VIOLENCE PREVENTION
Mission
To prevent and reduce violence through partnerships that strengthen youth, families, and neighborhoods.
Initiatives
❖ Commission on Domestic Violence and Sexual Assault
❖ Safe Visitation and Exchange Center
❖ Coaching Boys to Men
❖ ReCAST Milwaukee
❖ Trauma Response Partnership
❖ 414 LIFE
❖ Blueprint for Peace
❖ BUILD Health Challenge
❖ Beyond the Bell
❖ Safer Communities for Youth
BLUEPRINT FOR PEACEDEVELOPMENT
❖ 12 Month Process
❖ 6 Steering Committee
Meetings
❖ Focus Groups
❖ Key Stakeholder
Interviews
❖ Launch Event
❖ Survivors Forum
❖ SAFE MKE Forum
❖ Ceasefire Sabbath
❖ Youth Survey
❖ Community Survey
❖ Community
Brainstorming
❖ Southside Safety
Summit
VISION
MILWAUKEE IS A SAFE ANDRESILIENT CITY WHERE THE LIVES
OF ALL RESIDENTS ARE VALUED,
PROMOTED, AND PROTECTED.
BLUEPRINT GOALS
1. STOP THE SHOOTING. STOP THE VIOLENCE
2. PROMOTE HEALING AND RESTORATIVE JUSTICE
3. SUPPORT CHILDREN, YOUTH, AND FAMILIES
4. PROMOTE ECONOMIC OPPORTUNITY
5. FOSTER SAFE NEIGHBORHOODS
6. STRENGTHEN CAPACITY AND COORDINATION OF
VIOLENCE PREVENTION EFFORTS
PRIORITY NEIGHBORHOODS
STRATEGY 1
Use of timely, comprehensive data to prioritize prevention efforts.
A. Enhance local capacity to access, analyze, and utilize violence-related data from a variety of sources, including local emergency departments, emergency medical services, law enforcement, trauma centers, and the Milwaukee County Medical Examiner.
B. Conduct regular reviews of incidents of violence in coordination with public health, hospital, law enforcement, and community partners.
STRATEGY 2
Reduce incidence of violence through proactive prevention efforts.
A. Utilize evidence-based outreach and violence interruption strategies to mediate conflicts, prevent retaliation and other potentially violent situations, and connect individuals to community supports. These strategies include violence interruption and focused deterrence in neighborhoods and schools.
B. Improve lethality assessment and safety planning measures to prevent domestic violence homicides and suicide.
MILWAUKEE VIOLENCE PREVENTION
PARTNERSHIP
❖ Movement Building
❖ Capacity Building
❖ Alignment
❖Communications
❖ Data and Evaluation
❖ Collaboration
❖ Advocacy
❖ Funding Alignment
❖ Cross Sector
Engagement
PreventionInstitute.org @preventioninst
Jamaal E. Smith, MPACommunity Injury and Violence Prev Manager
[email protected] [email protected]
Director, Office of Violence Prev.
Kweku TeAngelo Cargile Jr.
Youth Injury and Violence Prev. Coor.
Arnitta Holliman MS, LPC
https://city.milwaukee.gov
/414Life/Blueprint
www.rti.org RTI International is a trade name of Research Triangle Institute. RTI and the RTI logo are U.S. registered trademarks of Research Triangle Institute.
Research Study
RTI International
Project Aims
1. Retroactively measure ACE|R implementation effectiveness on child
abuse and neglect and youth violence in Milwaukee using an
idiographic clinical (ICT) approach.
2. Prospectively test the comparative effectiveness of the ACE|R
framework/Milwaukee Blueprint for Peace plus community organizing in
10 priority communities on community-level child abuse and neglect and
youth violence using ICT.
3. Use a Hybrid Type 1 effectiveness-implementation design to explore
the barriers to and facilitators of implementing community organizing
within the ACE|R framework in a large metropolitan area (Milwaukee).
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Retrospective and Prospective Study Design (Aims 1 & 2)
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Hybrid 1 Design (Aim 3)
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Add in Implementation
Findings
OutcomesImple-
mentation
ACEs
Viol.
Injury
Outcomes in Context
Measure Outcomes
Historical Impacts of Redlining on Violence
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2014 - 2016Simple Assaults,Aggravated Assaults, Nonfatal Shootings, And Homicides
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Progress
Surveillance data
selection
Participation in TTA
Design Team meetings
Creation of ArcGIS Mobile
data collection tool
Retrospective
stakeholder interviews
IRB approval
Blueprint for Peace
implementation and
community organizing
TTA planning
Systematic review of
archival materials
Documentation of
community events
Completed Ongoing
Thank you44
Contact Us:
Dr. Phillip Graham| email: [email protected]
Dr. Anna Yaros | email: [email protected]
Dana Fields-Johnson, MPA | email: [email protected]
Jamaal E. Smith, MPA | email: [email protected]